NR 667 Concepts and Clinical Scenarios | Full Questions and
Answers | 2026/2027 Updated | 100% Correct.
NR 667 Concepts and Clinical Scenarios
Full Questions and Answers | 2026/2027 Updated
Table of Contents
Section Topic
I VISE Format & Documentation Essentials
II Cardiovascular Concepts
III Endocrine & Metabolic Scenarios
IV Renal & Genitourinary
V Respiratory & Infectious Disease
VI Hematology & Oncology
VII Neurologic & Musculoskeletal
VIII Professional Practice & Clinical Decision-Making
Section I: VISE Format & Documentation Essentials
Question 1
A Chamberlain NR667 student is preparing for the VISE examination. Which of the following
best describes the required setup for the live patient encounter?
,A) The student must use a pre-recorded video of a standardized patient encounter.
B) The student must have video/audio capability and a volunteer present who is older than 12
years of age.
C) The student may conduct the encounter via telephone only if the volunteer is unavailable.
D) The student must have a licensed preceptor physically present during the video conference
with faculty.
Correct Answer: B) The student must have video/audio capability and a volunteer
present who is older than 12 years of age.
Rationale: The NR667 VISE is a live video conference with faculty requiring the student
to independently conduct a patient encounter with a volunteer over 12 years old. Video/audio
capability is mandatory, and no preceptor is present during the faculty evaluation .
Question 2
During the VISE encounter, faculty provides the student with which of the following pieces of
information to begin the patient assessment?
A) A complete past medical history and current medication list for the volunteer.
B) The chief complaint and vital signs only.
C) The differential diagnosis and proposed management plan for the volunteer.
D) A full SOAP note completed by a previous student for reference.
Correct Answer: B) The chief complaint and vital signs only.
Rationale: Faculty initiates the VISE by providing the chief complaint and vital signs; the
student must independently gather the history, perform a focused exam, develop a diagnosis,
and create a management plan to demonstrate practice readiness .
Question 3
Which of the following conditions is NOT included on the list of key diagnoses that NR667
students must be prepared to manage during the VISE encounter?
A) Type 2 diabetes mellitus
B) Gastroesophageal reflux disease (reflux esophagitis)
C) Acute appendicitis
D) Allergic rhinitis
, Correct Answer: C) Acute appendicitis
Rationale: The NR667 VISE key diagnosis list includes hypertension, hyperlipidemia, type
2 diabetes, back pain, anxiety, obesity, allergic rhinitis, reflux esophagitis, URI, hypothyroidism,
osteoarthritis, fibromyalgia, BPH, knee/shoulder/hip pain, acute laryngopharyngitis, sinusitis,
acute bronchitis, asthma, depressive disorder, nail fungus, tinea corporis, eczema, and UTI—but
not acute appendicitis .
Question 4
A student is documenting the VISE encounter using the SOAP format. In the Assessment section,
the student should include which of the following?
A) A verbatim transcript of everything the patient said during the encounter.
B) The patient's chief complaint and vital signs.
C) The differential diagnosis and the most likely diagnosis with clinical reasoning.
D) The complete plan for pharmacologic and non-pharmacologic management.
Correct Answer: C) The differential diagnosis and the most likely diagnosis with clinical
reasoning.
Rationale: The Assessment section of a SOAP note includes the differential diagnosis and
the most likely diagnosis, supported by clinical reasoning and evidence. The Subjective section
contains the patient's history and chief complaint; the Objective section contains vital signs and
exam findings; the Plan section contains management strategies .
Section II: Cardiovascular Concepts
Question 5
A 58-year-old male presents with progressive dyspnea, orthopnea, and bilateral lower extremity
edema. Exam reveals JVD to the earlobe, S3 gallop, and crackles to mid-scapula. What is the
most likely diagnosis?
A) COPD exacerbation
B) Congestive heart failure (NYHA Class III/IV)
C) Pneumonia
D) Pulmonary fibrosis
Correct Answer: B) Congestive heart failure (NYHA Class III/IV)
Answers | 2026/2027 Updated | 100% Correct.
NR 667 Concepts and Clinical Scenarios
Full Questions and Answers | 2026/2027 Updated
Table of Contents
Section Topic
I VISE Format & Documentation Essentials
II Cardiovascular Concepts
III Endocrine & Metabolic Scenarios
IV Renal & Genitourinary
V Respiratory & Infectious Disease
VI Hematology & Oncology
VII Neurologic & Musculoskeletal
VIII Professional Practice & Clinical Decision-Making
Section I: VISE Format & Documentation Essentials
Question 1
A Chamberlain NR667 student is preparing for the VISE examination. Which of the following
best describes the required setup for the live patient encounter?
,A) The student must use a pre-recorded video of a standardized patient encounter.
B) The student must have video/audio capability and a volunteer present who is older than 12
years of age.
C) The student may conduct the encounter via telephone only if the volunteer is unavailable.
D) The student must have a licensed preceptor physically present during the video conference
with faculty.
Correct Answer: B) The student must have video/audio capability and a volunteer
present who is older than 12 years of age.
Rationale: The NR667 VISE is a live video conference with faculty requiring the student
to independently conduct a patient encounter with a volunteer over 12 years old. Video/audio
capability is mandatory, and no preceptor is present during the faculty evaluation .
Question 2
During the VISE encounter, faculty provides the student with which of the following pieces of
information to begin the patient assessment?
A) A complete past medical history and current medication list for the volunteer.
B) The chief complaint and vital signs only.
C) The differential diagnosis and proposed management plan for the volunteer.
D) A full SOAP note completed by a previous student for reference.
Correct Answer: B) The chief complaint and vital signs only.
Rationale: Faculty initiates the VISE by providing the chief complaint and vital signs; the
student must independently gather the history, perform a focused exam, develop a diagnosis,
and create a management plan to demonstrate practice readiness .
Question 3
Which of the following conditions is NOT included on the list of key diagnoses that NR667
students must be prepared to manage during the VISE encounter?
A) Type 2 diabetes mellitus
B) Gastroesophageal reflux disease (reflux esophagitis)
C) Acute appendicitis
D) Allergic rhinitis
, Correct Answer: C) Acute appendicitis
Rationale: The NR667 VISE key diagnosis list includes hypertension, hyperlipidemia, type
2 diabetes, back pain, anxiety, obesity, allergic rhinitis, reflux esophagitis, URI, hypothyroidism,
osteoarthritis, fibromyalgia, BPH, knee/shoulder/hip pain, acute laryngopharyngitis, sinusitis,
acute bronchitis, asthma, depressive disorder, nail fungus, tinea corporis, eczema, and UTI—but
not acute appendicitis .
Question 4
A student is documenting the VISE encounter using the SOAP format. In the Assessment section,
the student should include which of the following?
A) A verbatim transcript of everything the patient said during the encounter.
B) The patient's chief complaint and vital signs.
C) The differential diagnosis and the most likely diagnosis with clinical reasoning.
D) The complete plan for pharmacologic and non-pharmacologic management.
Correct Answer: C) The differential diagnosis and the most likely diagnosis with clinical
reasoning.
Rationale: The Assessment section of a SOAP note includes the differential diagnosis and
the most likely diagnosis, supported by clinical reasoning and evidence. The Subjective section
contains the patient's history and chief complaint; the Objective section contains vital signs and
exam findings; the Plan section contains management strategies .
Section II: Cardiovascular Concepts
Question 5
A 58-year-old male presents with progressive dyspnea, orthopnea, and bilateral lower extremity
edema. Exam reveals JVD to the earlobe, S3 gallop, and crackles to mid-scapula. What is the
most likely diagnosis?
A) COPD exacerbation
B) Congestive heart failure (NYHA Class III/IV)
C) Pneumonia
D) Pulmonary fibrosis
Correct Answer: B) Congestive heart failure (NYHA Class III/IV)
